Inside‑Out Alignment Advisory
A discreet, board‑level partnership to align mission, reality, and results.
What this is
This is not typical consulting. It is a confidential, truth‑first engagement for boards and senior leaders who want real alignment. We evaluate how your stated mission shows up in daily decisions, incentives, communications, and outcomes. Then we help you correct what is off and strengthen what is true.
Who this is for
- Board chairs, committee leads, and directors
- CEOs, presidents, and system executives
- Senior leaders for quality, growth, culture, brand, or integration
- Health systems, payers, post‑acute providers, life sciences, and health tech
How it works
Listen
Private interviews, document review, and live observation.
Reveal
Clear view of where mission, culture, incentives, and operations diverge.
Align
Decision filters, governing principles, and near‑term corrections.
Decide
Choices on structure, talent mix, priorities, and pacing.
Embody
90‑day implementation support with senior leaders and teams.
Offerings
Board Level Advisory
Purpose — Give the board a clear view of reality and a path to integrity in action.
Scope
- Board truth mapping: how each director defines mission, risk, and success
- Mission‑to‑mechanism review: bylaws, charters, incentives, reporting, brand promises
- Integrity checks: quality of care, patient experience, community impact, compliance posture
- Decision filters used before approving strategy, spend, or partnerships
- Board retreat design and facilitation
- CEO and chair counsel in confidence
Primary deliverables
- Board Alignment Report and Truth Map
- Updated decision filters and charter language suggestions
- 90‑day corrections plan and 12‑month roadmap
- Optional public commitment statement the board can sign and live
Senior Leadership Advisory
Purpose — Help the executive team bring the mission to life across structure, talent, and daily work.
Scope
- Executive alignment index by leader and function
- Operating model review: org design, incentives, metrics, communications
- Patient and caregiver journey scan: where promises break and how to fix them
- Service line or product line alignment sprints
- Leadership 1:1 counsel and small‑group sessions
- Communications that match reality, not wishful branding
Primary deliverables
- Leadership Alignment Index and priority map
- Operating model corrections and decision rights
- 90‑day alignment sprint plan and support
- Message house and talking points for internal and external use
Access pathways
- Board‑initiated: Chair or committee lead engages us for a board diagnostic.
- Executive‑initiated: CEO or senior leader requests a leadership advisory sprint.
- Individual director or officer: Private counsel available. We design a path that honors fiduciary duty and organizational health.
What you can expect
- Fewer mixed signals across the organization
- Clear decision filters that prevent ethics drift
- Stronger patient experience and caregiver engagement
- Cleaner brand promises that match delivery
- Better partnership choices and reduced leakage
- A culture that rewards truth and accountability
How to begin
Request a discreet consult. We start with a 45‑minute conversation to understand your goals and current state. If there is mutual fit, we outline scope and cadence.
Intake prompts
- What is the mission in your own words
- Where do you see the largest gap between promise and practice
- Which decisions in the past year felt most misaligned
- Where are people most energized
- What would success look like 90 days from now
Measurement frame
- Alignment Index 0–100 across board, leadership, operations, and brand
- Link to safety events, experience scores, turnover, and growth quality
Engagement shapes
- 2–4 week diagnostic
- 90‑day alignment sprint
- 6–12 month embed for complex change
Plain‑language promise
Presence. Authenticity. Alignment. No theater. No spin. Real change or we part as friends.